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Personal Lines Applications & Forms

Online Applications/Forms (Fill-In and Submit Via Internet)

● Acord Homeowners Application (Tower)

● Homeowners Application (Scottsdale)

● High Value-Homeowners Application (Lexington)

● Dwelling Fire Application PC 1 to 8 (Scottsdale)

● Dwelling Fire Application PC 9 & 10 (Scottsdale)

● Personal Umbrella Application (Scottsdale Indemnity, Admitted, A+)

Print Only Applications/Forms

● Older Home Questionnaire (Tower Ins Co)

● Homeowners Application (Scottsdale Ins. Co.)

● Dwelling & Habitational Fire Application (Scottsdale Ins. Co.)

● Dwelling Liability Application

● Personal Umbrella Application (Scottsdale Indemnity, Admitted A+)

● Personal Inland Marine Application

● Medical Statement (Scottsdale Ins. Co.)

● Protection Class 9 & 10 Questionnaire

● Cancellation Request Form

● Earthquake Notice (Scottsdale Ins. Co. - Zone 1)

● Earthquake Notice (Scottsdale Ins. Co. - Zone 3)

● Surplus Lines Forms (SLA-D1, SL-2)

● Woodstove Questionnaire (Scottsdale)

● Calif. Residential Property Disclosure Form (RC)

● Calif. Residential Property Disclosure Form (ACV)